APPLICATION FOR CERTIFIED PLANT ENGINEER PROGRAM

Instructions: Please provide all information and submit to AFE Headquarters for review. No fee is involved in filing this preliminary application.

CATEGORIES OF CERTIFICATION

CATEGORY A
(Applicants must take CPE Exam)

Four year degree in engineering, architecture, or engineering technology, with six years plant/engineering/facilities management experience or four years management level plant engineering/facilities management experience.

OR

Non-technical or no degree with eight years plant engineering/facilities management experience or six years management level, plant engineering/facilities management experience.

CATEGORY B
(No CPE Exam Required)

Registered professional engineers with four years plant engineering/facilities management experience.

After studying the information on eligibility, I believe I best qualify as a CPE Candidate in Category

A   B


GENERAL INFORMATION

I'm attending A CPE Review Program: Yes   No
I will be attending:
Preferred Mailing to:
Business   Home
*Your First Name:
*Your Last Name:
Your Middle Name:
Your Title:
Employer:
Business Address:
City:
State:
ZIP:
Business Telephone:
Business Fax:
Home Street Address:
City:
State:
ZIP:
Home Telephone:
*E-mail Address:
Date of Birth:
AFE Member: Yes   No


EMPLOYMENT

An employment verification form MUST be completed by your employer(s) based on your employment history and eligibility. For example, if you have been with your current employer for eight or more years, one form is required. If you have been with several employers within a four-year period, a form from each employer is required.

Click here for employment form

Please complete the following in reverse chronological order, full-time positions only, beginning with your present position. If further space is required to explain job responsibilities or to provide additional work experience, please list this in theAdditional Informationbox at the bottom of this section of the form.

* FROM: (Mo./Yr.) *TO (Mo./Yr.):
*EMPLOYER'S NAME & LOCATION:
*IMMEDIATE SUPERVISOR'S NAME&TITLE:
*YOUR TITLE:
*Number You Supervised: Engineers
Technicians
Craftsmen
FROM: (Mo./Yr.) TO (Mo./Yr.):
EMPLOYER'S NAME & LOCATION:
IMMEDIATE SUPERVISOR'S NAME&TITLE:
YOUR TITLE:
Number You Supervised: Engineers
Technicians
Craftsmen
FROM: (Mo./Yr.) TO (Mo./Yr.):
EMPLOYER'S NAME & LOCATION:
IMMEDIATE SUPERVISOR'S NAME&TITLE:
YOUR TITLE:
Number You Supervised: Engineers
Technicians
Craftsmen
FROM: (Mo./Yr.) TO (Mo./Yr.):
EMPLOYER'S NAME & LOCATION:
IMMEDIATE SUPERVISOR'S NAME&TITLE:
YOUR TITLE:
Number You Supervised: Engineers
Technicians
Craftsmen
Additional Information:


EDUCATION

Highest Level Completed:
High School
College exp. - no degree
Vocational/Associate
Bachelor's
Master's
Doctorate

School Location Curriculum Dates
Attended
Year
Graduated
Type of
Degree

If you majored in the engineering field, was the curriculum accredited by ABET (Accreditation Board for Engineering and Technology, formerly called ECPD)?

Yes
No
Uncertain


FEES

CPE REVIEW PAKS (Optional)

If you would like to be invoiced for your certification fees please fax a Purchase Order to (571) 766-2142.

PO Number:

Virtual Seminar fees
AFE member: $2200
AFE non member: $2400
If you are attending a virtual seminar the following items are included:
  • All sessions
  • Instructor Handouts
  • Review Pak
  • Application/Exam Fee
Application fees for Self-Study or Exam Only
AFE member: $475
AFE non member: $660
 
Exam fees for Self-Study or Exam Only
Choose One: Online   Paper   None
*Note: Testing fee is $100 and will be added onto your bill.
 
CPE Review Pack
Member: $125 (Includes $15.00 shipping)
Non-Member: $150 (Includes $15.00 shipping)


METHODS FOR PAYMENT

*Total Due $
*Credit Card Type: American Express    MasterCard   Visa
*Credit Card Number:
*Expiration Date: /
*Card Holder Name:
*Security ID:
*Billing Address:
*City:
*State:
*Zip:

* indicates a required field, if providing a PO number, please indicate the number in the PO number box above and proceed.

CERTIFICANT AFFIDAVIT and PLEDGE

The applicant acknowledges that the Certification Board of the Association for Facilities Engineering, by its usual standards and procedures, will investigate and compile a record with respect to all aspects of the applicant's career. The applicant agrees to provide any additional information in connection with the investigation as may be required. In consideration of the services to be rendered by the Certification Board, the applicant hereby releases, discharges and exonerates the Certification Board of the Association for Facilities Engineering, its officers, directors and agents from any and all liability of every kind and nature arising out of the procedures, information transmitted concerning the applicant, or action of the Board in approving or disapproving applications.

* By clicking the box, I hereby attest that the above information and its attachments are true and complete. I understand that the Association for Facilities Engineering certification programs will not discriminate among applicants as to age, sex, race, color, religion, national origin, disability, citizenship status or veteran status. I further pledge to maintain the highest ethical standards of practice in carrying out my assigned duties with regard to this certification.

The AFE Certification Program is for individuals only, both members and non-members may apply. Once earned, the CPE designation may not be used to imply that a firm, product, or service is certified by AFE.You may also Fax or Mail your completed form to: (571) 766-2142, Attn: AFE Certification Program Manager, Association for Facilities Engineering, 12801 Worldgate Drive, Suite 519, Herndon, VA 20170.


 
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